Employment Type:

Full time

Shift:

Day Shift

Description:

Currently offer 10,000 sign-on retention bonus for qualified experienced RN's.

The Registered Nurse Utilization Review (UR), Clinical Care Manger (CCM) actively manages the utilization review process and patient progression from Admission to Discharge. Through partnership and collaboration with all members of the healthcare team, the UR/CCM is the principal liaison between emergency services, surgical services, nursing, finance, physicians, and medical records. In addition, they are responsible to coordinate safe and appropriate discharge plan for the patients within their service area.

Organization Highlights:

• Our Trinity Health Culture: Our staff know, understand, incorporate & demonstrate our Trinity Health Mission, Values, Vision, through their actions, behaviors, practices & decisions.

• Leadership: Shared Governance to leaders are accessible. Unit practice counsels and open-door guiding principle for shared decision-making. All our employees have a voice.

• Well-Being: Practice in an environmentally safe, professional & healthy atmosphere. Our staff are supported by a variety of resources for physical and mental health.

• Professional Relationships : Strong rapport with our interdisciplinary team including ortho, bariatric & neurosurgery physicians & clinical affiliates, rehab services, pharmacy and nutritional services.

• Professional Development: Strong education program, generous tuition allowance and clinical ladder incentives. We encourage job share opportunities to enhance satisfaction and growth.

• Work/Life: Predictable scheduling options balance work/life/school calendars.

• Safety: Only local hospital to receive a Leapfrog A for safety.

Responsibilities:

• Completes initial and follow up case reviews on all patients as dictated by payer and status.

• Uses Interqual and Indicia/MCG software and Physician Advisors to determine appropriate patient status/level of care.

• Follows Medicare guidelines and industry standards to ensure the proper patient class is assigned.

• Acts as a liaison with the Hub to facilitate appropriate patient placement, level of care and patient progression at a unit level to achieve system efficiency.

• Leads daily SNAP huddles and works collaboratively with unit staff and support team (RN, Physician/Clinical Affiliate, DPA, MSW, CDI, Rehab Services, etc.) to progress each patient's care towards discharge.

• Serves as a consultant and educator with medical staff regarding status, placement, payer requirements, and utilization of resources.

• Performs Initial Stay reviews.

• Reviews LOS values and working DRG daily; Updates in Care Logistics software as needed.

• Identifies opportunities to transition testing to the outpatient setting and escalates as appropriate

• Identifies/assesses patient for readmission risk, communicates to care team, and updates Care Logistics software.

• Ensures quality nursing care is rendered to all patients in accordance with the New York Nurse Practice Act, National Standards of Practice, and Nursing and Clinical Service standards of care and practice.

• Maintains current knowledge of basic health care economics, trends and reimbursements methodologies and applies knowledge to daily practice. Recognizes situations that require immediate intervention. Continues to develop professionally and apply knowledge and skills necessary to provide care appropriate to each patient.

• Utilizing the Nursing Process, plans, directs and supervises the care of patients in addition to being involved in preparing the discharge plan for patients and families.

Education, Training, Experience, Certification and Licensure:

• Bachelor’s degree in nursing preferred, according to NYS requirements, with one to two years progressive experience in the field. Ideally the candidate will have strong clinical skills, leadership qualities and must be actively working toward an advanced degree.

• Graduate of an accredited School of Nursing and current licensure as a Registered Nurse in New York State.

• Specialty credentialing & educational degree according to clinical nursing practice specialty area preferred.

• Maintains all licensures and certifications according to NYS regulations and specialty area requirements.

• Participates in continuing education and updates and maintains knowledge and skills related to specific areas of expertise.

Career Path:

• Clinical ladder advancement with experience, staff engagement, and national certification.

• Career advancement to leadership roles as preceptor, mentor, coordinator/management.

Work Environment and Hazards:

• Clinical office setting. Exposure Class I

Physical Demands:

• Occasional exposure to conditions which may be considered particularly disagreeable to sight, touch, sound, smell & tastes; May encounter fumes, orders, dusts, mists & gases, along with biohazards / hazards (mechanical, electrical, burns, chemicals, radiation, sharp objects, etc.); Occasionally subject to noise, infectious waste, diseases & conditions.

• Includes the need to be physically & mentally capable to perform nursing processes.

Work Contact Group:

• All services, medical staff, patients, visitors, and various regulatory and professional agencies.

Supervised By:

• Director, Department Manager, and Clinical Coordinator.

The above statements are intended to describe the general nature & level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned.

Pay Range: $34.05 - $51.10

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran